Healthcare Provider Details

I. General information

NPI: 1821010638
Provider Name (Legal Business Name): CATARACT AND LASER CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4102 OGLETOWN STANTON RD SUITE 1
NEWARK DE
19713-4169
US

IV. Provider business mailing address

4102 OGLETOWN STANTON RD STE 1
NEWARK DE
19713-4183
US

V. Phone/Fax

Practice location:
  • Phone: 302-454-8802
  • Fax: 302-454-8801
Mailing address:
  • Phone: 302-454-8802
  • Fax: 302-454-8801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberFSSC004A
License Number StateDE

VIII. Authorized Official

Name: MICHAEL PASCETTA
Title or Position: CFO
Credential:
Phone: 860-652-5002